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ForumsExercise & Body CompositionBody recomposition protocol: GLP-1 + progressive overload + high protein — need advice Page 2

Body recomposition protocol: GLP-1 + progressive overload + high protein — need advice

SteveThurs Mon, Sep 9, 2024 at 5:43 PM 9 replies 1,728 viewsPage 2 of 2
NurseLeah_Nash
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Sep 9, 2024 at 8:33 PM#6

Honest question — does anyone else think we're all overthinking this? People have been losing weight for decades without obsessively tracking protein to the gram. I lost 30kg on Ozempic eating normally, didn't track a thing, and my doctor says my bloodwork is fine.

Not everyone needs to become a bodybuilder. Some of us just want to lose the weight and keep it off. 🤷‍♂️

3 16RegAffairsDC, BiostatsBrad, PeptideSynthNJ
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pat_auckland
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Sep 9, 2024 at 8:50 PM#7

— You raise a fair point about not needing to be obsessive, but I'd push back gently. "Bloodwork is fine" doesn't tell you about body composition. You can lose 30kg and have perfect bloodwork while having lost a significant percentage of muscle mass, which has long-term metabolic consequences:

  • Lower resting metabolic rate (making regain more likely if/when you stop the medication)
  • Reduced functional strength, especially important as we age
  • Decreased bone density (muscle and bone health are linked)

You don't need to become a bodybuilder, agreed. But a basic awareness of protein intake and some resistance exercise is genuinely important medicine, not just gym-bro culture.

Last edited: Sep 10, 2024 at 12:50 AM
24 4wanda_boise, NurseAsh_DET, BenResearch_OR and 21 others
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josh_phd_bmore
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Sep 9, 2024 at 9:07 PM#8

What Marcus said. Also Steve — "my doctor says my bloodwork is fine" is doing a LOT of heavy lifting in that sentence lol. Did your doc order a DEXA? Check your grip strength? Measure your resting metabolic rate? Probably not.

I don't want to be alarmist but sarcopenia is real and GLP-1 meds accelerate it if you're not careful. Get a DEXA scan. Knowledge is power.

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julia.endo
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Sep 9, 2024 at 9:24 PM#9

This thread has been super helpful. Okay, new plan:

  1. Bump protein target to 1.4g/kg (~115g/day)
  2. Prioritize protein-dense foods first at every meal
  3. Add a third lifting day and actually follow a progressive overload program
  4. Get another DEXA in 3 months to compare

Thanks everyone. Will report back with results! 💪

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mike_mod
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Sep 9, 2024 at 9:41 PM#10

Pinning this thread — it's one of the best protein discussions we've had. Quick mod note: remember that individual protein needs vary based on age, kidney function, activity level, and other factors. Always consult your healthcare provider before making major dietary changes, especially if you have any kidney issues where high protein intake may need to be monitored.

1 17PurityPaulOR
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